RADAR: A Randomized Discontinuation Phase II Study to Determine the Efficacy of RAD001 in Breast Cancer Patients With Bone Metastases
- Written informed consent prior to beginning specific protocol procedures, including
expected cooperation of the patients for the treatment and follow-up, must be
obtained and documented according to the local regulatory requirements.
- Histologically confirmed invasive adenocarcinoma of the breast.
- Primary tumour or metastasis negative or positive (≥ 10% positive stained cells) for
oestrogen and/or progesterone receptor detected by immunohistochemistry.
- Single or multiple bone metastasis (x-ray, CT or MRI) as only metastatic site.
- Postmenopausal hormone receptor positive patients should have received an aromatase
inhibitor in any given previous breast cancer therapy. Concurrent endocrine treatment
for metastatic bone disease is obligatory. Previous treatment with bisphosphonates is
- Up to one previous chemotherapy for metastatic disease is allowed.
- Patients must have either measurable or non-measurable target lesions according to
the WHO criteria.
- At least 1 target lesion must be completely outside the radiation portal or there
must be pathologic proof of progressive disease.
- At least 2 weeks since major surgery with full recovery.
- Complete staging within 4 weeks prior to registration.
- Karnofsky performance status evaluation > 60%.
- Age >18 years.
- Absolute neutrophil count >1,500 cells/µl, platelet count >100,000 cells/µl.
- Bilirubin >1.5x the upper normal limit for the institution (UNL); elevation of
transaminases, alkaline phosphatase < 2.5x UNL and serum albumin < 30g/l. Normal
renal function (creatinine >1.5x upper normal limit)
- If of childbearing potential, negative pregnancy test. In addition the patient has to
agree to use an effective method to avoid pregnancy for the duration of the study.
- Known hypersensitivity reaction to the compounds or incorporated substances (e.g.
everolimus or sirolimus [rapamycin] or lactose).
- Concurrent immunotherapy or hormone replacement therapy and use of hormonal
- Need for chemotherapy or irradiation of bone metastasis during study treatment
- HER2 positive primary tumour and/or lesion
- Evidence of metastasis in other organs
- Uncompensated diabetes mellitus; fasting value of blood sugar of >120 (mg/dl)
- Corrected (adjusted for serum albumin) serum calcium concentration < 8.0 mg/dl (2.00
mmol/l) or > 12.0 mg/dl (3.00 mmol/l)
- Abnormal renal function as evidenced by a calculated creatinine clearance < 30
- Life expectancy of less than 3 months
- Serious intercurrent medical or psychiatric illness that may interfere with the
planned treatment (including AIDS and serious active infection).
- History of other malignancy within the last 5 years which could affect the diagnosis
or assessment of metastatic breast cancer
- Concurrent treatment with other experimental drugs. Participation in another clinical
trial with any investigational not marketed drug within 30 days prior to study entry.
- Patients being treated with drugs recognized as being strong inhibitors or inducers
of the isoenzyme CYP3A (e.g. rifabutin, rifampicin, clarithromycin, ketoconazole,
itraconazole, ritonavir, telithromycin, erythromycin, verapamil, dilitazem) within
the last 5 days or the expected need for these treatments during study participation.
- Pregnant or nursing women.
- The patient is not accessible for treatment and follow-up. Patients registered on
this trial must be treated and followed at the participating centre which could be
the Principal or Co-Investigator's site.